Department of Occupational Therapy, University of Illinois at Chicago, 1919 West Taylor Street, MC 811, Chicago, IL 60612, USA.
Am J Occup Ther. 2010 Sep-Oct;64(5):727-34. doi: 10.5014/ajot.2010.08026.
This case report describes the use of the Occupational Therapy Task-Oriented Approach with a client with occupational performance limitations after a cerebral vascular accident. The Occupational Therapy Task-Oriented Approach is often suggested as a preferred neurorehabilitation intervention to improve occupational performance by optimizing motor behavior. One common critique of this approach, however, is that it may seem inappropriate or have limited application for clients with cognitive deficits. This case report demonstrates how an occupational therapist working in an inpatient rehabilitation setting used the occupational therapy task-oriented evaluation framework and treatment principles described by Mathiowetz (2004) with a person with significant cognitive limitations. This approach was effective in assisting the client in meeting her long-term goals, maximizing her participation in meaningful occupations, and successfully transitioning to home with her daughter.
本病例报告描述了在脑血管意外后，使用作业治疗任务导向方法治疗一位存在作业表现局限性的患者。作业治疗任务导向方法通常被建议作为一种首选的神经康复干预方法，通过优化运动行为来提高作业表现。然而，这种方法的一个常见批评是，对于认知缺陷的患者来说，它可能显得不合适或应用有限。本病例报告展示了一名在住院康复环境中工作的作业治疗师如何使用 Mathiowetz（2004 年）描述的作业治疗任务导向评估框架和治疗原则，对一位认知功能严重受限的患者进行治疗。这种方法在帮助患者实现长期目标、最大限度地参与有意义的作业活动以及成功过渡到与女儿一起居家生活方面非常有效。
